Surgical Technology, Procedures, Unit 3, Biliary Rectal(Proctored Exam practise)

Beschreibung

Surgical Technology, Procedures, Unit 3, Biliary Rectal(Proctored Exam practise)
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Zusammenfassung der Ressource

Frage 1

Frage
Which of the following would not be a reason for a cholecystectomy?
Antworten
  • polyps
  • cholelithiasis
  • gastroesophageal reflux
  • Cholecystitis

Frage 2

Frage
What is the procedure that is the surgical repair of the anal sphincter?
Antworten
  • Whipple
  • Hemorrhoidotomy
  • Sphincteroplasty
  • Fistulectomy

Frage 3

Frage
A wedge resection of the liver may be done for what?
Antworten
  • biopsy for transplant
  • prevent liver cirrhosis
  • resect a tumor
  • relieve pulmonary hypertension

Frage 4

Frage
A splenectomy can be performed for;
Antworten
  • trauma
  • tumors
  • blood conditions
  • all of the above

Frage 5

Frage
In addition to a major general surgical instrumentation set, which of the following will also be needed for a cholecystectomy?
Antworten
  • thoracic instruments
  • gallbladder instruments
  • CBD exploration instruments
  • genitourinary instruments

Frage 6

Frage
What is done if the surgeon can feel stones in the CBD?
Antworten
  • patient comes back at a later date for more surgery
  • gallbladder is removed at a higher place
  • Common Bile Duct is explored
  • patient is put on stone reduction medications

Frage 7

Frage
Whipple pancreaticoduodenectomy involves removal of the?
Antworten
  • tail of the pancreas, proximal stomach, duodenum, and distal jejunum
  • pancreas, stomach, cecum, ileum, bladder, hepatic and cystic ducts, and periaortic lymph nodes
  • islets of Langerhans, spleen, stomach, duodenum, colon, cystic and common bile ducts, and peripancreatic and hepatoduodenal lymph nodes
  • head of the pancreas, distal stomach, duodenum, and distal end of the common bile duct

Frage 8

Frage
After a portion of the liver has been resected how is hemostasis achieved?
Antworten
  • liver is packed with laps
  • #3-0 chromic stick ties
  • hemostatic agents
  • all of the above

Frage 9

Frage
Of the items listed, what instrument is used to maintain a hold on the gallbladder during the dissection process of a laparoscopic gallbladder removal?
Antworten
  • Endo Scissors
  • Bowel Grasper
  • Davis and Geck Grasper
  • Claw Grasper

Frage 10

Frage
Removal of the gallbladder is called ?
Antworten
  • choledochojejunostomy
  • cholecystectomy
  • cholelithiasis
  • colectomy

Frage 11

Frage
Bile is produced by the ?
Antworten
  • common bile duct
  • spleen
  • liver
  • gall bladder

Frage 12

Frage
How are the resection lines created on a liver resection?
Antworten
  • needle scratching
  • marking pen
  • scalpel
  • cautery

Frage 13

Frage
Where is the spleen located?
Antworten
  • lt. upper abdominal quadrant
  • lt. lower abdominal quadrant
  • rt. upper abdominal quadrant
  • rt. lower abdominal quadrant

Frage 14

Frage
What would need to be pulled in addition to a straight cholecystectomy if there is to be cholangiograms?
Antworten
  • Dye, 2 syringes, saline, cholangiocatheter, 3 way stopcock, extension tubing.
  • Dye, 2 syringes, saline, extra raytecs, 2 way stopcock, cholangiocatheter
  • 1 syringe, saline, dye, stopcock, colangiocatheter, extention tubing
  • saline, dye, stopcock, colangiocatheter, extention tubing

Frage 15

Frage
What anatomical structures are doubly ligated or triple clipped and resected free on a cholecystectomy?
Antworten
  • portal artery, vein & duct
  • mesenteric artery, vein & cystic duct
  • cystic artery, vein & duct
  • hepatic artery, vein and portal duct

Frage 16

Frage
Which gland has both exocrine and endocrine functions?
Antworten
  • liver
  • spleen
  • gallbladder
  • pancreas

Frage 17

Frage
The gall bladder is found in the _______abdominal quadrant.
Antworten
  • left upper
  • left lower
  • right upper
  • right lower

Frage 18

Frage
The excision and ligation of dilated veins in the anal region is referred to as a what?
Antworten
  • cholecystectomy
  • Whipple
  • Sphincteroplasty
  • hemorrhoidectomy

Frage 19

Frage
Hemorrhoids are removed with the patient in the _____ position.
Antworten
  • Kraske
  • sitting
  • supine
  • prone

Frage 20

Frage
Intraoperative Cholangiogram is performed in conjunction with the removal of ?
Antworten
  • liver
  • gall bladder
  • stomach
  • spleen

Frage 21

Frage
What suture and needle is used most often to ligate hemorrhoids?
Antworten
  • 1 prolene on a CT-1 needle
  • 2-0 chromic on a keith needle
  • 4-0 silk curved cutting needle
  • 2-0 chromic on an SH needle

Frage 22

Frage
Which of the following is not a function of the Spleen?
Antworten
  • plays a role in immunologic defenses
  • regulates blood sugar levels
  • acts as a reservoir for blood
  • aids in filtration & formation of blood elements

Frage 23

Frage
What can be used to dissect free a hemorrhoid?
Antworten
  • knife
  • PPH stapler
  • cautery
  • all of the above

Frage 24

Frage
Of the answers listed, what can be used to inspect the anal canal?
Antworten
  • penrose drain
  • glasses
  • PPH stapler
  • surgeon's finger

Frage 25

Frage
What type of diagnostic tray can be pulled and be available for a hemorrhoid procedure?
Antworten
  • tracheostomy
  • esophagoscopy
  • bronchoscopy
  • sigmoidoscopy

Frage 26

Frage
The condition of gallstones is called ?
Antworten
  • cystolithiasis
  • cholelithiasis
  • pyelolithiasis
  • ureterolithiasis

Frage 27

Frage
What would not be the reason a patient may need a sphincteroplasty?
Antworten
  • large episiotomy
  • trauma
  • dilated veins in the anal region
  • post-infection damage

Frage 28

Frage
What instrument set is used along with a minor set for a sphincteroplasty procedure?
Antworten
  • biopsy set
  • major set
  • rectal set
  • ABD set

Frage 29

Frage
A sinus tract that has formed from the rectum to the buttocks is called what?
Antworten
  • pilonidal
  • fissure
  • hemorrhoid
  • fistula

Frage 30

Frage
On a Fistulectomy, what can the surgeon use to scrape out the tract?
Antworten
  • knife
  • forceps
  • raytex sponge
  • bone curette

Frage 31

Frage
Methylene Blue is a dye that can be used in various rectal cases except which?
Antworten
  • Sphincteroplasty
  • Rectal fistulectomy
  • Pilonidal cystectomy
  • None of the above procedures used dye

Frage 32

Frage
What tissue covers the gallbladder and has to be cut before the cystic artery and cystic duct can be identified?
Antworten
  • dermal
  • sorosa
  • mucosa
  • Peritoneal Fold

Frage 33

Frage
A 2-0 silk ties, or endoscopic lig-a-clip applier can be used to ligate the cystic artery during a cholecystectomy? Name one for an open procedure and one for a laparoscopic procedure.
Antworten
  • True
  • False

Frage 34

Frage
What diagnostic, unsterile procedure might be performed before rectal procedures?
Antworten
  • examination using retractors
  • fingers for rectal examination
  • Colonoscopy or Sigmoidoscopy

Frage 35

Frage
Check three boxes for reasons of performing a wedge resection?
Antworten
  • tumor
  • trauma
  • absess
  • fissure
  • blood clot

Frage 36

Frage
When doing a splenectomy, what main vessel would be clamped and ligated first, and why?
Antworten
  • artery
  • vein

Frage 37

Frage
Check the boxes of two hormones the Islets of Langerhan secretes?
Antworten
  • Insulin
  • Testosterone
  • estrogen
  • Glucagon

Frage 38

Frage
What is the reason for performing a pancreatoduodenectomy procedure on a patient?
Antworten
  • fissure in the pancrease
  • pancreas rupture
  • Cancer in the head of the pancreas
  • blood loss to the pancreas

Frage 39

Frage
A benign ulcerative lesion occurring in the anal canal is diagnosed as a what?
Antworten
  • fistula
  • fissure
  • incarcirated
  • diseased

Frage 40

Frage
An infected ingrown hair tract that was present at birth that leads to the sacral bone. It is repaired by finding the tract, and then opening and cleaning out the tract using bone currettes and packing the wound is know as?
Antworten
  • fistula
  • fissure
  • Pilonidal cyst
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